| Theme | Therapeutic Strategy for Early Gastrointestinal Cancers with EMR or ESD | |
|---|---|---|
| Title | Efficient Techniques for en bloc Resection of Gastric Tumors | |
| Publish Date | 2008/01 | |
| Author | Kiyoaki Homma | Gastroenterology, Yamagata Prefectural Nihonkai Hospital / Endoscopy Study Group in the Northern Part of Shonai |
| Author | Kou Nagino | Gastroenterology, Yamagata Prefectural Nihonkai Hospital / Endoscopy Study Group in the Northern Part of Shonai |
| Author | Takashi Hayasaka | Deartment of Gastroenterology, Municipal Sakata Hospital / Endoscopy Study Group in the Northern Part of Shonai |
| Author | Kazuomi Imaizumi | Deartment of Gastroenterology, Municipal Sakata Hospital / Endoscopy Study Group in the Northern Part of Shonai |
| Author | Yuji Matsumoto | Deartment of Surgery, Honma Hospital / Endoscopy Study Group in the Northern Part of Shonai |
| Author | Kiyokazu Homma | Sakata Medical Association/ Endoscopy Study Group in the Northern Part of Shonai |
| [ Summary ] | Endoscopic submucosal resection (ESD) has made it possible to resect large tumors en bloc on the exact line intentionally and to perform detailed pathologic examinations. However, ESD requires more skill than EMR in order to manipulate endoscopes and forceps. While gastric tumors with diameters of less than 30 mm, and which were in antrum and angle were frequently seen in endoscopic resections. If these tumors could be resected easily and certainly, the level of treatments would improve. K snare with a cutting knife on top has been developed. This tool has made it easy to perform ESD on gastric tumors with diameters less than 30 mm. It is necessary for efficient treatments of gastric tumors to center patients and to resect frequent tumors by easy and certain methods within the limits of human resources and time available. K snare will be used more freguently for ESD of gastric tumors. |
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